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NPI Code Detail

MEDICARE: CURTIS MILLET OD

MEDICARE: CURTIS MILLET OD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist3462719934UT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1497844690
Entity Type Code : Individual
Provider Name (Legal Business Name) : CURTIS MILLET OD
Provider Business Mailing Address
First Line : 1901 PARKWAY BLVD
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84119-2001
Country : US
Telephone Number : 801-886-2020
Fax Number : 801-954-0054
Provider Business Practice Location Address
First Line : 2190 HIGHLAND DR
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84106-2807
Country : US
Telephone Number : 801-487-4138
Fax Number : 801-467-4813
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2006
Last Update Date : 07/16/2008

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